Camera-based physiological measurement is a fast growing field of computer vision. Remote photoplethysmography (rPPG) utilizes imaging devices (e.g., cameras) to measure the peripheral blood volume pulse (BVP) via photoplethysmography, and enables cardiac measurement via webcams and smartphones. However, the task is non-trivial with important pre-processing, modeling and post-processing steps required to obtain state-of-the-art results. Replication of results and benchmarking of new models is critical for scientific progress; however, as with many other applications of deep learning, reliable codebases are not easy to find or use.

Remote photoplethysmography (rPPG) enables contactless vital sign monitoring using standard RGB cameras. However, existing methods rely on fixed parameters optimized for particular lighting conditions and camera setups, limiting adaptability to diverse deployment environments. This paper introduces the Projection-based Robust Signal Mixing (PRISM) algorithm, a training-free method that jointly optimizes photometric detrending and color mixing through online parameter adaptation based on signal quality assessment. PRISM achieves state-of-the-art performance among unsupervised methods, with MAE of 0.77 bpm on PURE and 0.66 bpm on UBFC-rPPG, and accuracy of 97.3\% and 97.5\% respectively at a 5 bpm threshold. Statistical analysis confirms PRISM performs equivalently to leading supervised methods ($p > 0.2$), while maintaining real-time CPU performance without training. This validates that adaptive time series optimization significantly improves rPPG across diverse conditions.

Abstract--Remote photoplethysmography (rPPG) enables non-contact, continuous monitoring of physiological signals and offers a practical alternative to traditional health sensing methods. Although rPPG is promising for daily health monitoring, its application in long-term personal care scenarios--such as mirror-facing routines in high-altitude environments--remains challenging due to ambient lighting variations, frequent occlusions from hand movements, and dynamic facial postures. T o address these challenges, we present the Long-term Altitude Daily Health (LADH) dataset, the first long-term rPPG dataset containing 240 synchronized RGB and infrared (IR) facial videos from 21 participants across five common personal care scenarios, along with ground-truth PPG, respiration, and blood oxygen signals. Our experiments demonstrate that combining RGB and IR video inputs improves the accuracy and robustness of non-contact physiological monitoring, achieving a mean absolute error (MAE) of 4.99 BPM in heart rate estimation. Furthermore, we find that multi-task learning enhances performance across multiple physiological indicators simultaneously.

Wearable photoplethysmography (PPG) is embedded in billions of devices, yet its optical waveform is easily corrupted by motion, perfusion loss, and ambient light, jeopardizing downstream cardiometric analytics. Existing signal-quality assessment (SQA) methods rely either on brittle heuristics or on data-hungry supervised models. We introduce the first fully unsupervised SQA pipeline for wrist PPG. Stage 1 trains a contrastive 1-D ResNet-18 on 276 h of raw, unlabeled data from heterogeneous sources (varying in device and sampling frequency), yielding optical-emitter- and motion-invariant embeddings (i.e., the learned representation is stable across differences in LED wavelength, drive intensity, and device optics, as well as wrist motion). Stage 2 converts each 512-D encoder embedding into a 4-D topological signature via persistent homology (PH) and clusters these signatures with HDBSCAN. To produce a binary signal-quality index (SQI), the acceptable PPG signals are represented by the densest cluster while the remaining clusters are assumed to mainly contain poor-quality PPG signals. Without re-tuning, the SQI attains Silhouette, Davies-Bouldin, and Calinski-Harabasz scores of 0.72, 0.34, and 6173, respectively, on a stratified sample of 10,000 windows. In this study, we propose a hybrid self-supervised-learning--topological-data-analysis (SSL--TDA) framework that offers a drop-in, scalable, cross-device quality gate for PPG signals.

Psychological counseling is a highly personalized and dynamic process that requires therapists to continuously monitor emotional changes, document session insights, and maintain therapeutic continuity. In this paper, we introduce PsyCounAssist, a comprehensive AI-powered counseling assistant system specifically designed to augment psychological counseling practices. PsyCounAssist integrates multimodal emotion recognition combining speech and photoplethysmography (PPG) signals for accurate real-time affective analysis, automated structured session reporting using large language models (LLMs), and personalized AI-generated follow-up support. Deployed on Android-based tablet devices, the system demonstrates practical applicability and flexibility in real-world counseling scenarios. Experimental evaluation confirms the reliability of PPG-based emotional classification and highlights the system's potential for non-intrusive, privacy-aware emotional support. PsyCounAssist represents a novel approach to ethically and effectively integrating AI into psychological counseling workflows.

Heart rate is a physiological signal that provides information about an individual's health and affective state. Remote photoplethysmography (rPPG) allows the estimation of this signal from video recordings of a person's face. Classical rPPG methods make use of signal processing techniques, while recent rPPG methods utilize deep learning networks. Methods are typically evaluated on datasets collected in well-lit environments with participants at resting heart rates. However, little investigation has been done on how well these methods adapt to variations in illumination and heart rate. In this work, we systematically evaluate representative state-of-the-art methods for remote heart rate estimation. Specifically, we evaluate four classical methods and four deep learning-based rPPG estimation methods in terms of their generalization ability to changing scenarios, including low lighting conditions and elevated heart rates. For a thorough evaluation of existing approaches, we collected a novel dataset called CHILL, which systematically varies heart rate and lighting conditions. The dataset consists of recordings from 45 participants in four different scenarios. The video data was collected under two different lighting conditions (high and low) and normal and elevated heart rates. In addition, we selected two public datasets to conduct within- and cross-dataset evaluations of the rPPG methods. Our experimental results indicate that classical methods are not significantly impacted by low-light conditions. Meanwhile, some deep learning methods were found to be more robust to changes in lighting conditions but encountered challenges in estimating high heart rates. The cross-dataset evaluation revealed that the selected deep learning methods underperformed when influencing factors such as elevated heart rates and low lighting conditions were not present in the training set.

Hypertension is a leading cause of morbidity and mortality worldwide. The ability to diagnose and treat hypertension in the ambulatory population is hindered by limited access and poor adherence to current methods of monitoring blood pressure (BP), specifically, cuff-based devices. Remote photoplethysmography (rPPG) evaluates an individual's pulse waveform through a standard camera without physical contact. Cameras are readily available to the majority of the global population via embedded technologies such as smartphones, thus rPPG is a scalable and promising non-invasive method of BP monitoring. The few studies investigating rPPG for BP measurement have excluded high-risk populations, including those with cardiovascular disease (CVD) or its risk factors, as well as subjects in active cardiac arrhythmia. The impact of arrhythmia, like atrial fibrillation, on the prediction of BP using rPPG is currently uncertain. We performed a study to better understand the relationship between rPPG and BP in a real-world sample of ambulatory patients from a cardiology clinic with established CVD or risk factors for CVD. We collected simultaneous rPPG, PPG, BP, ECG, and other vital signs data from 143 subjects while at rest, and used this data plus demographics to train a deep learning model to predict BP. We report that facial rPPG yields a signal that is comparable to finger PPG. Pulse wave analysis (PWA)-based BP estimates on this cohort performed comparably to studies on healthier subjects, and notably, the accuracy of BP prediction in subjects with atrial fibrillation was not inferior to subjects with normal sinus rhythm. In a binary classification task, the rPPG model identified subjects with systolic BP $\geq$ 130 mm Hg with a positive predictive value of 71% (baseline prevalence 48.3%), highlighting the potential of rPPG for hypertension monitoring.

Camera-based physiological measurement is a fast growing field of computer vision. Remote photoplethysmography (rPPG) utilizes imaging devices (e.g., cameras) to measure the peripheral blood volume pulse (BVP) via photoplethysmography, and enables cardiac measurement via webcams and smartphones. However, the task is non-trivial with important pre-processing, modeling and post-processing steps required to obtain state-of-the-art results. Replication of results and benchmarking of new models is critical for scientific progress; however, as with many other applications of deep learning, reliable codebases are not easy to find or use.

With the growing percentage of elderly people and care home admissions, there is an urgent need for the development of fall detection and fall prevention technologies. This work presents, for the first time, the use of machine learning techniques to recognize postural movements exclusively from Photoplethysmography (PPG) data. To achieve this goal, a device was developed for reading the PPG signal, segmenting the PPG signals into individual pulses, extracting pulse morphology and homeostatic characteristic features, and evaluating different ML algorithms. Investigations into different postural movements (stationary, sitting to standing, and lying to standing) were performed by 11 participants. The results of these investigations provided insight into the differences in homeostasis after the movements in the PPG signal. Various machine learning approaches were used for classification, and the Artificial Neural Network (ANN) was found to be the best classifier, with a testing accuracy of 85.2\% and an F1 score of 78\% from experimental results.

Abstract--Imaging photoplethysmography (iPPG) can be used for heart rate monitoring during driving, which is expected to reduce traffic accidents by continuously assessing drivers' physical condition. Deep learning-based iPPG methods using near-infrared (NIR) cameras have recently gained attention as a promising approach. To help understand the challenges in applying iPPG in automotive, we provide a benchmark of a NIR-based method using a deep learning model by evaluating its performance on MR-NIRP Car dataset. Experiment results show that the average mean absolute error (MAE) is 7.5 bpm and 16.6 bpm under drivers' heads keeping still or having small motion, respectively. These findings suggest that while the method shows promise, further improvements are needed to make it reliable for real-world driving conditions.